Pennyrile Nephrology Associates, PSC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

PENNYRILE NEPHROLOGY ASSOCIATES, PSC

Practice address

1020 Waterfall CT
Madisonville, KY 42431-8079

Phone

(270) 399-5434

Fax

(270) 825-3793

NPI assigned

Jan 7, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy Whitney

Title

Office Manger

Phone

(270) 821-5726

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Imran Dosani, MD

  • Nephrology Physician
  • Lawrenceville, GA
  • NPI 1215142401
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1982177572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 WATERFALL CT",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424318079",
            "telephone_number": "270-821-5726",
            "fax_number": "270-326-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 WATERFALL CT",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424318079",
            "telephone_number": "270-399-5434",
            "fax_number": "270-825-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNYRILE NEPHROLOGY ASSOCIATES, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "WHITNEY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OFFICE MANGER",
        "authorized_official_telephone_number": "270-821-5726"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100284170",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pennyrile@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "office direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Madisonville",
            "address_1": "1020 Waterfall Ct",
            "city": "Madisonville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "424318079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pebble Creek Family Dentistry, P.L.L.C.
• Pediatric Health Group PSC
• Tammy Pellegrini
• Heather Rae Pendley
• Pennyrile Nephrology Associates, PSC
• Joshua Perdue
• Leslie Perdue
• Whitney Perdue, C/OTA
• Yerlin Perez Moux, MD
• Chella Periyanayagam, PH.D.

• Nephrology Physician in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Nephrology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.